FORM 1023-EZ for MAKING CHANGE 4 DROWNING PREVENTIONINC

Field Data
EIN 46-4657550
Case Number EO-2015216-000023
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAKING CHANGE 4 DROWNING PREVENTIONINC
Organization’s Mailing Address 867 HARLEY STRICKLAND BLVD
City ORANGE CITY
State FL
ZIP 32763
Accounting period End 12
Primary contact name LAURENCE J PINO ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES PEARY
CEO PRESIDENT
867 HARLEY STRICLAND BLVD
ORANGE CITY FL 32763

Officer/Director/Trustee Two

VICTOR HOOVER
CHIEF OFFICER
1670 12TH ST
ORANGE CITY FL 32763

Officer/Director/Trustee Three

JANE GALWAY
OFFICER
2441 TREEHAVEN DR
DELTONA FL 32738

Officer/Director/Trustee Four

CAROL NEWKIRK
CHIEF FINANCIAL OFFICER
125 EAST INDIANA AVE STE B
DELAND FL 32724

Organization’s website HTTP://WWW.DROWNINGPREVENTIONVOLUSIA.COM
Organization’s email DROWNINGPREVENTION@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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